Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.72 / $1,206.35 / $2,049.64	Facility		$258.72	$1,206.35	$2,049.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.61 / $585.61 / $1,124.03	Professional		$585.61	$585.61	$1,124.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.93 / $482.93 / $482.93	Facility		$482.93	$482.93	$482.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $88.22 / $88.22	Professional		$88.22	$88.22	$88.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $837.42 / $837.42 / $837.42	Facility		$837.42	$837.42	$837.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $562.89	Professional		$174.81	$174.81	$562.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $611.84 / $646.79 / $699.24	Facility		$611.84	$646.79	$699.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $393.32 / $393.32	Professional		$157.33	$393.32	$393.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $482.93 / $646.79 / $837.42	Facility		$482.93	$646.79	$837.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $480.73 / $480.73	Professional		$88.22	$480.73	$480.73
United Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $349.62 / $527.44	Professional		$174.81	$349.62	$527.44